Questions 55

HESI RN

HESI RN Test Bank

Community Health HESI Questions

Question 1 of 5

A home health nurse is reviewing the laboratory results for several clients with heart failure. Which client finding would the nurse report to the health care provider immediately?

Correct Answer: C

Rationale: An elevated B-type natriuretic peptide indicates worsening heart failure, which requires immediate attention.

Question 2 of 5

During a home visit, the nurse observes that a client with limited mobility has difficulty accessing the bathroom. What should the nurse do first?

Correct Answer: A

Rationale: Installing a bedside commode provides an immediate solution to the client's difficulty accessing the bathroom.

Question 3 of 5

A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?

Correct Answer: B

Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.

Question 4 of 5

The public health nurse is evaluating resources in a rural community. Which healthcare resource is most important for the community?

Correct Answer: B

Rationale: Access to trauma care is crucial in rural areas due to the potential for delayed emergency response times.

Question 5 of 5

The nurse is providing discharge teaching to a client with a new colostomy. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Changing the colostomy bag every week is not sufficient; it should be changed more frequently to prevent leakage and skin irritation.

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